Well-being Person-Centred Care Planning Tool



Person-Centred Well-being Care Planning ToolResident Name: Date:Review number:Any initial concerns to be highlighted/discussed in the review:WELL-BEING CRITERIADESCRIPTION OF THE CRITERIASTAFF PERCEPTIONS ABOUT THE RESIDENT’S ABILITY TO ENGAGE IN THE CRITERIAFORMULATION/REASONS FOR BEHAVIOURSPOSSIBLE WAYS TO IMPROVE WELL-BEINGACTIONSPersonal CareWashing, dressing, bathing, toileting/ continencePreferencesDone independently or level of assistance neededHow concerned are you about the resident’s ability to keep him/herself clean e.g. washing & bathing? A lot Quite a bit A little Not at allHow concerned are you about the level of assistance the resident needs with personal care?A lot Quite a bit A little Not at allHow concerned are you about the resident’s ability to get to the toilet in time? A lot Quite a bit A little Not at allMeal TimesFood choicesAbility to communication preferencesNutritional supplementsHow concerned are you that the resident is eating a balanced diet? A lot Quite a bit A little Not at allHow concerned are you that the resident is able to communicate his/her preferences for food/food choices?A lot Quite a bit A little Not at allSleepAmount of sleepQuality of sleepDay time naps/bed restAids to sleepHow concerned are you about the amount the resident sleeps?A lot Quite a bit A little Not at allHow concerned are you about the quality of the resident’s sleep?A lot Quite a bit A little Not at allSocial Contact & ConfidenceInteractions – with other residents, staff & familyQuality of the interactionsCompanionshipAttachmentsShows warmth and affectionDisliked/feared by othersResponds appropriately to others’ emotionsCo-operative & helpful with staff & other residentsHow concerned are you about the resident having enough company? A lot Quite a bit A little Not at allHow concerned are you about how the resident gets on with people close to them? A lot Quite a bit A little Not at allHow concerned are you that the resident does not get the affection he/she wants? A lot Quite a bit A little Not at allHow concerned are you that the resident feels excluded by others? A lot Quite a bit A little Not at allThe resident has a sense of belonging within their current relationships Strongly agree Agree Not sure Disagree Strongly disagreeEngagement, Occupation & StimulationPrevious occupation Previous/current hobbies & interestsActivities he/she enjoys currentlyParticipation in groupsEnjoyment in activitiesSigns of boredomHow concerned are you about the level of stimulation the resident is getting? A lot Quite a bit A little Not at allHow concerned are you that the resident is not actively involved in pursuing interesting activities?A lot Quite a bit A little Not at allHow concerned are you that the resident is unable to pursue their own interests? A lot Quite a bit A little Not at all oewHoComfortPhysical health problemsMedicationAny physical pain?Ability to express discomfort & painAlertnessResponsivenessHow concerned are you about the resident’s physical health?A lot Quite a bit A little Not at allHow concerned are you that the resident is unable to express their physical pain and discomfort?A lot Quite a bit A little Not at allHopeFeeling valuedFeeling lovedInterest in new activities/eventsAspirations for the futureThe resident is actively enjoying life - Strongly agree Agree Not sure Disagree Strongly disagreeThe resident needs other people to make him/her feel good about him/herself - Strongly agree Agree Not sure Disagree Strongly disagreeThe resident does not feel valued by others - Strongly agree Agree Not sure Disagree Strongly disagreeNegativityMoodSigns of anger, frustration etc.Behaviours which challengeAgitationAnxietySelf harmPsychosisHow concerned are you that the resident is frustrated or angry?A lot Quite a bit A little Not at allHow concerned are you that the resident is low in mood?A lot Quite a bit A little Not at allHow concerned are you about the resident’s behaviour?A lot Quite a bit A little Not at allIdentity, Personal Involvement & AgencySense of humourGiven choicesCultural issuesPersonal historyExpression of wants & needsDecision making abilityAbility to take actionUsing remaining abilities well/can make things happenHow concerned are you about the resident’s ability to get help when needed? A lot Quite a bit A little Not at allHow concerned are you about the resident’s ability to make him/herself understood? A lot Quite a bit A little Not at allHow concerned are you that there are things the resident wants to do but is unable? A lot Quite a bit A little Not at allPrevious experiencesTrauma/traumatic experiencesAbuseGriefSignificant life eventsSignificant mental health problemsLongstanding issuesLikes & dislikesPersonal preferencesAbility to express theseStaff’s ability to recognise theseAny other issuesRiskFinancesVisiting timesAccessing the communityAs a result of this review, how would you rate the resident’s quality of life overall? Very good Good Fair PoorAre you concerned about the resident’s quality of life? A lot Quite a bit A little Not at allWhat do you think/feel was most helpful about the discussion for informing your clinical practice?Any other comments:This tool has been devised by Nicola Wheeler (Assistant Clinical & Research Psychologist), Rachael Gardner (Senior Occupational Therapist), and Andrew Papadopoulos (Lead Psychologist for Recovery & Well-being), for use within Birmingham & Solihull Mental Health NHS Foundation Trust. It is a culmination of various well-being and quality-of-life measures including:Kitwood’s (1997) mindsets of well-being and psychological needs, Kitwood & Bredin’s (1992) well-being framework, Bradford Well-being measure, DEMQOL & proxy, QOL-AD, Well-being Assessment Schedule Older People, and the Warwick-Edinburgh Mental Well-being Scale. ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download